妊娠中の24時間の血圧の予後値
G Bellomo1, P L Narducci, F Rondoni
1Division of Medicine, Assisi Hospital, Italy.
JAMA
|October 27, 1999
まとめ
妊娠中のホワイトコート高血圧 (WCH) は,ノルモテンシブ妊娠と同様の結果をもたらしますが,帝王切開による出産率が増加する可能性があります. 24時間の血圧モニタリングは,オフィスの血圧測定よりも妊娠の結果をよりよく予測します.
科学分野:
- 産婦人科と産婦人科を担当しています.
- 心血管医学 心血管医学
- 生理周期の研究について
背景:
- 妊娠中の高血圧は,真の高血圧またはホワイトコート高血圧 (WCH) を示す可能性があります.
- 妊娠中の個体におけるWCHの予後的な影響は,以前は知られていなかった.
研究 の 目的:
- 妊婦におけるホワイトコートの高血圧の予後値を決定する.
- WCH,真の高血圧,および正常血圧を有する女性の妊娠結果を比較する.
主な方法:
- コミュニティ病院で前向きなコホート研究が行われました.
- 事務所での高血圧 (BP) を有する妊婦とマッチングした正常血圧群は,24時間の ambulatory BPモニタリングを受けた.
- 24時間の正常なBPとオフィスBPが上昇した女性は,WCH.を持つと分類されました.
主要な成果:
- ホワイトコートの高血圧は,高血圧の女性のうち29.2%に多く見られた.
- 妊娠期間と妊娠前出血症の発生率は,ノルモテンシブとWCH群で類似していたが,真の高血圧群では有意に高かった.
- 新生児の出生体重と新生児入院期間は,ノルモテンシブとWCHのグループでは比較可能でしたが,真の高血圧のグループでは低い/長かった.
結論:
- 24時間BPモニタリングは,真の高血圧とWCHを区別し,妊娠結果を予測するために,オフィスBPに優れています.
- WCHの女性の妊娠の結果は,ノルモテンシブ妊娠と比較できます.
- WCHグループにおける帝王切開による出産率の増加は,診療所のBP値の影響を受けることがあります.
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